Caring : National Association for Home Care magazine
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A survey of twenty hospitals in southwestern Virginia revealed that a lack of a discharge planning process was the most frequently reported reason for failure in the discharge system. All health professionals who come in contact with clients during hospitalization are responsible for preparing them and their families for discharge--only then can true continuity of care occur.
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A substantial portion of the costs associated with home medical equipment services are locally driven. Therefore, if access to care is to be ensured, it is critical that reimbursement sources consider local and regional differences.
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It is important that home care providers be aware of recent developments in the law and public policy regarding terminal care decisions, as well as develop guidelines that both avoid legal and regulatory difficulties and ensure that the client is treated with dignity.
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In New York City, Medicaid has replaced Medicare as the primary payor of certified home health care agencies. This shift has made agencies vulnerable to policy changes and budget cutbacks, changed the client population, and put new demands on service delivery.